Clinical application and results of the original technique of hernioplasty of ventral hernias of lateral localization

Introduction. In order to improve the results of surgical treatment in patients with ventral hernias of lateral localization, an original technique of non-tensioning plastic surgery using frame threads and a polypropylene mesh graft has been developed. The results of the application of a new original hernioplasty technique are presented. Materials and methods of research. A retrospective analysis of the "hospital patient cards" of 63 patients was carried out. 2 groups of patients were formed. The "main" group included patients after hernioplasty using the original technique of non-tensioning hernioplasty - 29 patients, the "control" group consisted of 34 patients who underwent conventional non-tensioning hernioplasty. The basis of the original technique is the use of two frame threads in the preperitoneal space and above the muscles of the anterior abdominal wall, which are captured when applying U-shaped sutures that fix the mesh endoprosthesis. Treatment results. A comparative analysis of the long-term results of operations with an average follow-up period of 36,22 months showed that there was no recurrence of hernia in patients operated according to the original method, while out of 34 patients in the control group, 5 people (14,7 %) had a relapse. Conclusion. The original technique of hernioplasty "onlay" has statistically proven advantages over the generally accepted method of non-protracted hernioplasty, - the absence of hernia recurrence for a long time after surgery, is a safe and publicly available method of surgical treatment of patients with postoperative ventral hernias of lateral localization.